- Excellus BlueCross BlueShield (Dewitt, NY)
- …to drive continuous improvement in measure results across all lines of business . Incumbents have the responsibility to understand HEDIS /CAHPS, Quality Assurance ... requirements along with influencing the Health Plan's quality ratings performance. The consultant monitors trends, outcomes and business processes using data… more
- Elevance Health (FL)
- ** Business Information Consultant (Health Economics)** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering ... NJ: Mason, OH; Cincinnati, OH and Norfolk, VA. The ** Business Information Consultant (Health Economics)**...and/or medical claims is strongly preferred. + Knowledge of HEDIS and STARS (quality metrics) as well as medication… more
- Two95 International Inc. (New York, NY)
- Job Title: Sr. Analytics Consultant Job type : Remote Work Type : 6+ Months Contract with extension Rate : $Market /Hour Requirements Job Description: Primary ... the mutual goals and value based contracts, conduct assemble information and perform analyses to quantify baseline performance, identify...your job would be to: * Understand the client's business goals well-enough to ensure the SOW will meet… more
- Elevance Health (Topeka, KS)
- …Must be located in the state of Kansas. The **OB Practice Consultant ** is responsible for fostering partnerships with healthcare providers and key Health ... assets and challenges utilizing Medical Home Index, NCQA Standards, HEDIS audits, site reviews and medical records reviews. +...They are how we achieve our strategy, power our business outcomes and drive our shared success - for… more
- LA Care Health Plan (Los Angeles, CA)
- …This person needs to quickly gain working knowledge of LA Care Domain Business Practices and Information Technology Solutions, including the identification of ... how each System (Commercial or Custom) capability meets the Processing and Information requirements to implement business functions effectively * Be aware… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …management, and medical policy processes, and support for our various lines of business . The incumbent also provides input into the development of policies, programs ... in person meetings. + Serves as a resource and consultant to other areas of the company. + May...timely distribution and education related to departmental and Ethics/Compliance information . + Regular and reliable attendance is expected and… more
- Evolent (Hagatna, GU)
- …selves to work. That's one reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ... Senior Analyst, Healthcare Analytics Consultant The Client Analytics team provides a unique opportunity...team provides a unique opportunity to collaborate with key business , analytics, product, and operational leaders to deliver client-specific… more
- CenterWell (Richmond, VA)
- …responsibilities as needed and demands a unique blend of clinical management, financial/ business acumen, and strategic partnership to optimize patient care and ... business outcomes. **KEY** **RESPONSIBILITIES** **Leadership & Organizational Management:** +...Net Promoter Score (NPS) and Medicare clinical quality via HEDIS , meeting local and organizational goals + Personally deliver… more
- CenterWell (Savannah, GA)
- …directed by the Market CMO + Maintaining confidentiality of all patient information according to both state and federalguidelines and regulations + Maintaining ... Knowledge of Medicare guidelines and coverage. + Knowledge of HEDIS quality indicators + Good understanding of best practice...to appropriately share and use your knowledge to improve business results. + Problem Solving: You are a problem… more
- CenterWell (Louisville, KY)
- …environment. + Knowledge of Medicare guidelines and coverage. + Knowledge of HEDIS quality indicators + Good understanding of best practice coding and documentation ... to appropriately share and use your knowledge to improve business results. + Problem Solving: You are a problem...collaborative problem solving. Acting as both a broker and consultant regarding resources, you engage others in problem solving… more
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